Department of Mental Health

Los Angeles County, CA

Official Website: https://dmh.lacounty.gov/

Forms & Documents

Browse all Department of Mental Health government forms

41 - 58 of 58 forms

Form Title Topics
MH 501 – Diagnosis Information Form
New Clinical Records Forms Inventory
New Forms Available on the Internet (Treatment Update to DCFS, Furnishing Protocol, Employment Assessment, HWLA Referrals
Obsolete Forms and New Adult Short Assessment
Problem List MH 757
Progress Note – MH 515
PSC 35 MH 736
Revised Child/Adolescent Initial Assessment and Infancy, Childhood & Enrichment (0-5)Initial Assessment Forms
Revised COD Assessment and COS Forms
Revised Community Functioning Evaluation and Treatment Update to DCFS
Revised Initial Assessment Forms and EOB/UCC Assessment
Revised Medication Forms and Supplemental TBS Assessment
Revised Medication Notes, NCR Progress Notes, Consent Forms and Adult Short Assessment
Revisions to Adult Initial Assessment and All Adult Co-Occurring Disorders Forms
Revisions to Child/Adolescent Initial Assessment and All Child Co-Occurring Disorders Forms
Service Request Log
Updated Clinical Forms
Walk-In Request for Services

Contact Information & Office Locations

All 2 contact points

Public Information Office

Address:
510 S. Vermont Ave
18th Floor
Los Angeles, CA 90020

Phone numbers:
  • (213) 738-3700
Emails:
  • pio@dmh.lacounty.gov
  • hso@dmh.lacounty.gov

Address:
550 South Vermont Ave.
Los Angeles, CA 90020

Phone numbers:
  • (213) 738-3700
Fax numbers:
  • (213) 386-1297
Emails:
  • pio@dmh.lacounty.gov

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